NPI 1003052192

White Earth Band of Chippewa Indians

Organisation Substance Use Disorder Rehabilitation Clinic/Center White Earth, MN

Practice location

Address: 36510 County Rd 21, White Earth, MN 56591
Phone: (218) 983-3285
Fax: (218) 983-3729
Mailing address: PO Box 418, White Earth, MN 56591

Authorised official

Name: Monte Lee Fox
Title: Tribal Health Director
Phone: (218) 983-3286

Registered specialties

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1003052192
Entity type: Organization
NPI issued: 19 Dec 2008
Record last updated: 19 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.